Name___________________________________________________

Address _______________________________________________

City___________________State_______ Zip________________

Telephone # _________________Email_____________________

Local #  (if different from above)_____________________

Check Number ______________    Amount__________________

Make Check Payable to CCMGA and mail to address above.

Checks only please!

Call or Email Larry Bugden to reserve your seat. 
508-896-2411 
lbugden@verizon.net
CCMGA Texas Hold’em
No Limit Tournament
Friday December 5th 2008
Brewster VFW
Freeman’s Way Brewster MA
Registration  6:00pm

Games start at 7:00 PM Sharp
Registration Form
Print this page, mail check and completed form to:
Larry Bugden
296 Yankee Drive
Brewster MA 02631

or bring  to the Captains Golf Course Pro Shop on Freeman’s Way